Organized and dependable candidate successful at managing multiple priorities with a positive attitude. A detail-oriented team player and self starter with a strong background in clinic billing and revenue cycle management. Able to troubleshoot problems, communicate and lead while creating a supportive team environment.
Overview
11
11
years of professional experience
Work History
Client Billing Partner
OCHIN, Inc
04.2022 - 08.2023
Functioned as medical and behavioral health biller, eligibility specialist and payment poster using EPIC software.
Reconciled accounts receivable to general ledger.
Completed month-end financial reporting and analysis for billing revenue cycle.
Closely monitor payer updates and changes.
Ensure timely processing of primary electronic/paper and secondary claims to meet targeted goals.
Acted as liaison between assigned clinics and OCHIN Billing Service, fielding any questions and concerns and ensuring timely response.
Collaborated with patients to insure proper insurance and demographic information for billing.
Implement regular team meetings in-house and with clients via Zoom or MS Teams.
Train new billing team members.
Utilize Outlook calendar to coordinate meetings and track time.
Clinical Support Specialist II
Chapa-De Indian Health Program
07.2017 - 04.2022
Provided guidance in the development, implementation and maintenance of EHR, eClinicalWorks.
Developed and implemented performance improvement strategies within the clinics with a strong focus on billing.
Coordinated and led training sessions with end users.
Contributed to the development of reports to support operational activities and initiatives including but not limited to OSHPD, UDS, and GRPA.
Developed reports in eClinicalWorks EBO system to routinely monitor FPL, 540B audits, and COVID vaccines.
Coordinated and implemented patient portal and online payment collections.
Medical/Behavioral Health Billing Clerk
Chapa-De Indian Health Program
12.2013 - 07.2017
Prepared medical and behavioral health claims for billing commerical, Medi-Cal and Medicare payers.
Tracked payments and claims to ensure timely processing.
Followed up with payers on missing payments and denials.
Posted payments and collections on regular basis.
Represented the billing department in regular meetings with vendors/payers.
Ran month end accounts receivable reports and submitted them to company CFO.
Contributed to the set up of eClinicalWorks during migration to new electronic billing system/EHR.
Acted as EHR superuser for the billing department.
While in this role over a four year span, collections doubled.
Dental Billing Clerk
Chapa-De Indian Health
07.2012 - 12.2013
Handled invoicing and payment processing for dental billing.
Communicated with patients regarding dental billing balances, resolving any discrepancies in a timely manner.
Posted dental patient payments and remits.
Reconciled the AR at month's end.
Followed up on payer denials and requests for additional information to meet company standards and goals.